Table 1 Studies included in the systematic review
From: Wrist-ankle acupuncture for the treatment of acute orthopedic pain after surgery: a meta-analysis
Author, year | Surgery | Sample (T/C) | The intervention for treatment group | Control group | Timing of pain measurement | Outcome indicator | Medical procedure | Adverse reactions | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
Intervention model | Select acupoints for wrist and ankle needles | Timing of WAA | Retaining needle time | ||||||||
Jiansong Chen [12] | UKA | 70 (35/35) | WAA | Same side down 4 | 10 min before CPM | 2 h | Routine analgesic nursing | 1/3/7/14 days after surgery | VAS IL-6, TNF-α | Two each time, 14 days | None |
Wenlong Li [18] | THA | 68 (35/33) | WAA + PCA | Same side down 1, 4, 5 | 3 days before surgery | 8 h | Painkiller | 12 h/24 h/36 h/48 h/1/3/7/14 days after surgery | VAS Dosage of painkiller | One each time,10 days | 13 Cases in experimental group and 28 cases in control group |
Wenlong Li [17] | THA | 73 (35/38) | WAA + low dosage of celecoxib | Same side down 1, 4, 5 | 3 days before surgery | 8 h | Painkiller | 4 h/8 h/12 h/1/2/3/4 days after surgery | VAS Dosage of painkiller | Once a day, This lasted until the 4th postoperative day | 13 Cases in experimental group and 19 cases in control group |
Jingjuan Zhu [21] | THA | 68 (34/34) | WAA + Auricular point | same side down 1, 4, 5 | 1 days before surgery | 8 h | Routine analgesic nursing | 2 h/6 h/12 h/24 h/48 h/72 h//7/days after surgery | VAS Analgesia satisfaction | Once a day, 10 days | 4 Cases in experimental group and 9 cases in control group |
Jingjuan Tian [19] | THA | 78 (39/39) | WAA + pain killer | Same side down 4, 5 | After surgery | 4–6 h | Painkiller | 1 h/6 h/12 h/24 h/ after surgery术后1, 6, 12, 24 h | VAS Dosage of tramadol hydrochloride | Once a day | Not mentioned |
Dongmiao [20] | Limb fracture | 72 (36/36) | WAA | According to the fracture side | After admission to hospital | 30 min | Painkiller | 5 min before acupuncture, 10/15/30 min/1 h/24 h after acupuncture | Changhai pain measuring scale, dosage of tramadol hydrochloride, analgesia satisfaction | Once a day | 1 Cases in experimental group and 4 cases in control group |
Peiqian Lai [16] | Thoracolumbar internal fixation | 60 (30/30) | WAA + PCA | Same side down 5, 6 | 1 day after surgery | 30 min | Chinese and Western medicine pain nursing | 12 h/24 h/36 h/48 h/3/4/5 days after surgery | VAS Dosage of analgesic pump, laboratory index | Once a day | 3 Cases in experimental group and 11 cases in control group |
Qiao Wang [13] | Calcaneus internal fixation | 145 (48/48/59) | WAA | Same side down 1, 2 | 1 h after surgery, 6 h after surgery | 1–24 h | Routine analgesic nursing | 1 h/6 h/12 h/24 h after surgery | VAS | Once a day | Not mentioned |
Min Zhang [15] | THA | 84 (42/42) | WAA | Same side down 1, 4, 5 | After surgery | 2 h | Routine analgesic nursing | 12 h/24 h/2/3/4/5 days after surgery | VAS | Once a day, 7 days | 8 Cases in experimental group and 26 cases in control group |
Hougang Xia [14] | Spine surgery | 60 (30/30) | WAA | Same side down 5, 6 | 1 day after surgery | 30 min | Routine analgesic nursing | 12 h/24 h/36 h after surgery | VAS Dosage of analgesic pump; laboratory index | Once a day | 8 Cases in experimental group and 16 cases in control group |
Huihua Zhou [23] | TKA | 74 (37/37) | WAA | Same side down 2, 3, 4 | 1 day after surgery, before CPM | 4 h | Routine analgesic nursing | After admission to hospital and 1/3/5/7/14 days after surgery | NRS PSQI | Once a day, 7 days | 2 Cases in experimental group and 17 cases in control group |
Su [24] | Acute low back pain | 60 (30/30) | WAA | Same side down 5, 6 | After admission to hospital | 30 min | Sham acupuncture | 3 min before acupuncture, and 5/10/15 min during acupuncture, and 30 min after acupuncture | McGill, ETCS | Once a day | 3 Cases in experimental group and 1 cases in control group |